8 week (short arm) Intervention - pulmonary rehabilitation: 8 weeks (short arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.
24 week (long arm) Intervention - pulmonary rehabilitation: 24 weeks (extended arm) of a pulmonary rehabilitation (PR) program, administered during TB treatment, comprising of exercise training, counselling and education, and airway clearance techniques.
Study summary
Individual-level, unblinded randomized controlled trial of an 8-week (short arm) or 24-week (extended arm) pulmonary rehabilitation program, relative to standard of care, to prevent post-tuberculosis respiratory morbidity. Randomization will occur in a 1:1:1 ratio at the initiation of treatment.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age at least 18 years
* Microbiologically confirmed (smear microscopy, GeneXpert or culture) pulmonary TB disease\*
* Not completed more than 2 weeks of TB treatment
* Receiving TB care at the outpatient clinics at the TB PuRe study sites
* Willingness to complete 48 weeks of study evaluations.
* Access to a smartphone.
Exclusion Criteria:
* Modified Medical Research Council score of 0 points (dyspnea only with strenuous exercise)
* Multi or extensively drug-resistant TB disease\*
* Extrapulmonary TB disease at any clinical sites without pulmonary involvement
* TB meningitis or TB of the spine
* Symptomatic cardiovascular disease, including coronary artery disease, arrhythmias and congestive cardiac failure.
* Karnofsky Score \< 40 points
* Any medical condition that prevents pulmonary rehabilitation eg: fracture of lower/upper limbs/pregnancy
* Bronchodilators and/or corticosteroids inhaled or otherwise.
Primary outcome measure(s)
Six-Minute Walk Test (6MWT) distance (meters) — 48 weeks post enrollment Mean distance compared between study arms
Trial sites (2)
Facility
City
Region
Status
Yenepoya (Deemed to be University
Mangalore
India
Recruiting
Symbiosis Medical College for Women & Symbiosis University Hospital and Research Center
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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